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TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
McKinney-Geib Foundation Inc
Number and street (or P.O. box number if mail is not delivered to street address)
3758 Kasey Lane
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Buford
,
GA
305197857
A Employer identification number
20-2017121
B
Telephone number (see instructions)
(770) 536-3381
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
2,923,653
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
67,110
67,110
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
182,357
b
Gross sales price for all assets on line 6a
614,768
7
Capital gain net income (from Part IV, line 2)
...
182,546
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
249,467
249,656
13
Compensation of officers, directors, trustees, etc.
321,500
241,125
80,375
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
36,443
1,497
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
431
431
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
1,897
0
0
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
32
32
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
360,303
243,085
80,375
25
Contributions, gifts, grants paid
.......
300,725
300,725
26
Total expenses and disbursements.
Add lines 24 and 25
661,028
243,085
381,100
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-411,561
b
Net investment income
(if negative, enter -0-)
6,571
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
132,855
63,174
63,174
2
Savings and temporary cash investments
.........
20,566
30,408
30,408
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
2,208,256
1,856,421
2,830,071
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
2,361,677
1,950,003
2,923,653
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
0
0
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
2,361,677
1,950,003
29
Total net assets or fund balances
(see instructions)
.....
2,361,677
1,950,003
30
Total liabilities and net assets/fund balances
(see instructions)
.
2,361,677
1,950,003
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
2,361,677
2
Enter amount from Part I, line 27a
.....................
2
-411,561
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
1,950,116
5
Decreases not included in line 2 (itemize)
5
113
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
1,950,003
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
5 Shs Apple Inc.
P
2018-11-29
2019-01-29
b
9 Shs Apple Inc.
P
2018-11-29
2019-03-12
c
8 Shs Apple Inc.
P
2018-11-29
2019-04-08
d
12 Shs Apple Inc.
P
2018-11-29
2019-06-26
e
6 Shs Kontoor Brands Inc
P
2019-05-23
2019-06-26
9 Shs Apple Inc.
P
2018-11-29
2019-08-20
4 Shs Apple Inc.
P
2018-11-29
2019-10-08
5 Shs Apple Inc.
P
2018-11-29
2019-11-05
23 Shs Comcast Corp New
P
2019-12-12
2019-12-17
29 Shs Comcast Corp New
P
2019-12-12
2019-12-31
19 SHS AFLAC INC
P
2015-06-19
2019-01-29
20 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-01-29
6 SHS ACCENTURE PLC IRELAND CLASS A
P
2017-10-27
2019-01-29
9 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-01-29
3 SHS AMGEN INC
P
2015-11-24
2019-01-29
7 SHS ANALOG DEVICES INC
P
2015-06-19
2019-01-29
4 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-01-29
7 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-01-29
2 SHS BLACKROCK INC
P
2015-11-03
2019-01-29
4 SHS CHEVRON CORPORATION
P
2015-05-06
2019-01-29
5 SHS CHEVRON CORPORATION
P
2015-05-06
2019-01-29
5 SHS CHUBB LTD
P
2016-01-15
2019-01-29
30 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-01-29
6 SHS CLOROX COMPANY
P
2015-06-19
2019-01-29
14 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-01-29
20 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-01-29
16 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-01-29
16 SHS EXXON MOBIL CORP
P
2015-06-19
2019-01-29
3 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-01-29
10 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-01-29
35 SHS HARRIS CORP DEL
P
2015-06-19
2019-01-29
25 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-01-29
18 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-01-29
12 SHS LINDE PLC
P
2015-06-19
2019-01-29
15 SHS LOWES COMPANIES INC
P
2015-06-19
2019-01-29
2 SHS MCDONALDS CORP
P
2015-05-04
2019-01-29
17 SHS MEDTRONIC PLC
P
2015-06-19
2019-01-29
13 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-01-29
6 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-01-29
8 SHS NIKE INC CLASS B
P
2016-01-20
2019-01-29
13 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-01-29
2 SHS NOVARTIS AG
P
2015-06-19
2019-01-29
15 SHS PAYCHEX INC
P
2015-06-19
2019-01-29
5 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-01-29
16 SHS PHILLIPS 66
P
2015-06-19
2019-01-29
2 SHS POLARIS INDS INC
P
2015-06-19
2019-01-29
12 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-01-29
6 SHS SYSCO CORPORATION
P
2015-06-19
2019-01-29
4 SHS TARGET CORP
P
2015-06-19
2019-01-29
11 SHS 3M CO
P
2015-06-19
2019-01-29
19 SHS US BANCORP NEW
P
2017-02-01
2019-01-29
15 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-01-29
11 SHS VF CORPORATION
P
2015-06-19
2019-01-29
13 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-01-29
29 SHS AFLAC INC
P
2015-06-19
2019-03-12
34 SHS AT&T INC
P
2015-06-19
2019-03-12
12 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-03-12
8 SHS ACCENTUR PLC IRELAND
P
2017-10-27
2019-03-12
6 SHS
P
2015-11-24
2019-03-12
19 SHS ANALOG DEVICES INC
P
2015-06-19
2019-03-12
18 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-03-12
5 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-03-12
1 SHS BLACKROCK INC
P
2015-11-03
2019-03-12
6 SHS CHEVRON CORPORATION
P
2015-05-06
2019-03-12
11 SHS CHUBB LTD
P
2016-01-15
2019-03-12
28 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-03-12
7 SHS CLOROX COMPANY
P
2015-06-19
2019-03-12
2 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-03-12
19 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-03-12
13 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-03-12
5 SHS EXXON MOBIL CORP
P
2015-06-19
2019-03-12
5 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-03-12
1 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-03-12
8 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-03-12
2 SHS LINDE PLC
P
2015-06-19
2019-03-12
18 SHS LOWES COMPANIES INC
P
2015-06-19
2019-03-12
8 SHS MCDONALDS CORP
P
2015-05-04
2019-03-12
16 SHS MEDTRONIC PLC
P
2015-06-19
2019-03-12
57 SHS MICROSOFT CORP
P
2015-06-19
2019-03-12
4 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-03-12
11 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-03-12
8 SHS NIKE INC CLASS B
P
2016-01-20
2019-03-12
5 SHS NOVARTIS AG
P
2015-06-19
2019-03-12
24 SHS PAYCHEX INC
P
2015-06-19
2019-03-12
8 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-03-12
9 SHS PHILLIPS 66
P
2015-06-19
2019-03-12
27 SHS POLARIS INDS INC
P
2015-06-19
2019-03-12
12 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-03-12
19 SHS SYSCO CORPORATION
P
2015-06-19
2019-03-12
7 SHS TARGET CORP
P
2015-06-19
2019-03-12
8 SHS US BANCORP NEW
P
2017-02-01
2019-03-12
9 SHS VF CORPORATION
P
2015-06-19
2019-03-12
12 SHS WALMART INC
P
2015-06-19
2019-03-12
15 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-03-12
34 SHS AFLAC INC
P
2015-06-19
2019-04-08
6 SHS AT&T INC
P
2015-06-19
2019-04-08
6 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-04-08
7 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-04-08
4 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-04-08
.306 SHS ALCON INC
P
2015-06-19
2019-04-11
.014 SHS ALCON INC
P
2015-06-25
2019-04-11
.011 SHS ALCON INC
P
2015-07-04
2019-04-11
.069 SHS ALCON INC
P
2016-07-13
2019-04-11
4.0 SHS AMGEN INC
P
2015-11-24
2019-04-08
11 SHS ANALOG DEVICES INC
P
2015-06-19
2019-04-08
5 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-04-08
4 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-04-08
2 SHS BLACKROCK INC
P
2015-11-03
2019-04-08
7 SHS CHEVRON CORPORATION
P
2015-05-06
2019-04-08
3 SHS CHUBB LTD
P
2016-01-15
2019-04-08
28 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-04-08
3 SHS CLOROX COMPANY
P
2015-06-19
2019-04-08
13 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-04-08
20 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-04-08
8 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-04-08
9 SHS EXXON MOBIL CORP
P
2015-06-19
2019-04-08
5 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-04-08
9 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-04-08
7 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-04-08
10 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-04-08
4 SHS LINDE PLC
P
2015-06-19
2019-04-08
17 SHS LOWES COMPANIES INC
P
2015-06-19
2019-04-08
4 SHS MCDONALDS CORP
P
2015-05-04
2019-04-08
8 SHS MEDTRONIC PLC
P
2015-06-19
2019-04-08
16 SHS MICROSOFT CORP
P
2015-06-19
2019-04-08
16 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-04-08
2 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-04-08
8 SHS NIKE INC CLASS B
P
2016-01-20
2019-04-08
13 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-04-08
12 SHS NOVARTIS AG
P
2015-06-19
2019-04-08
10 SHS PAYCHEX INC
P
2015-06-19
2019-04-08
12 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-04-08
6 SHS PHILLIPS 66
P
2015-06-19
2019-04-08
12 SHS POLARIS INDS INC
P
2015-06-19
2019-04-08
15 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-04-08
17 SHS SYSCO CORPORATION
P
2015-06-19
2019-04-08
17 SHS TARGET CORP
P
2015-06-19
2019-04-08
4 SHS 3M CO
P
2015-06-19
2019-04-08
28 SHS US BANCORP NEW
P
2017-02-01
2019-04-08
4 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-04-08
24 SHS VF CORPORATION
P
2015-06-19
2019-04-08
13 SHS WALMART INC
P
2015-06-19
2019-04-08
3 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-04-08
34 SHS AFLAC INC
P
2015-06-19
2019-05-07
30 SHS AT & T INC
P
2015-06-19
2019-05-07
10 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-05-07
5 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-05-07
2 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-05-07
2.986 SHS ALCON INC
P
2015-06-25
2019-05-03
2.189 SHS ALCON INC
P
2015-07-04
2019-05-03
14.331 SHS ALCON INC
P
2016-07-13
2019-05-03
63.494 SHS ALCON INC
P
2015-06-19
2019-05-03
7 SHS AMGEN INC
P
2015-11-24
2019-05-07
8 SHS ANALOG DEVICES INC
P
2015-06-19
2019-05-07
12 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-05-07
5 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-05-07
1 SHS BLACKROCK INC
P
2015-11-03
2019-05-07
5 SHS CHEVRON CORPORATION
P
2015-05-06
2019-05-07
11 SHS CHUBB LTD
P
2016-01-15
2019-05-07
15 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-05-07
16 SHS CLOROX COMPANY
P
2015-06-19
2019-05-07
4 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-05-07
29 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-05-07
7 SHS EXXON MOBIL CORP
P
2015-06-19
2019-05-07
1 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-05-07
1 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-05-07
12 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-05-07
2 SHS LINDE PLC
P
2015-06-19
2019-05-07
8 SHS MCDONALDS CORP
P
2015-05-04
2019-05-07
21 SHS MEDTRONIC PLC
P
2015-06-19
2019-05-07
12 SHS MICROSOFT CORP
P
2015-06-19
2019-05-07
9 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-05-07
16 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-05-07
11 SHS NIKE INC CLASS B
P
2016-01-20
2019-05-07
4 SHS NOVARTIS AG
P
2015-06-19
2019-05-07
19 SHS PAYCHEX INC
P
2015-06-19
2019-05-07
13 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-05-07
7 SHS PHILLIPS 66
P
2015-06-19
2019-05-07
9 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-05-07
27 SHS SYSCO CORPORATION
P
2015-06-19
2019-05-07
5 SHS TARGET CORP
P
2015-06-19
2019-05-07
5 SHS 3M CO
P
2015-06-19
2019-05-07
12 SHS US BANCORP NEW
P
2017-02-01
2019-05-07
6 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-05-07
17 SHS VF CORPORATION
P
2015-06-19
2019-05-07
11 SHS WALMART INC
P
2015-06-19
2019-05-07
34 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-05-07
8 SHS AFLAC INC
P
2015-06-19
2019-06-26
13 SHS AT & T INC
P
2015-06-19
2019-06-26
21 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-06-26
6 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-06-26
6 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-06-26
6 SHS AMGEN INC
P
2015-11-24
2019-06-26
25 SHS ANALOG DEVICES INC
P
2015-06-19
2019-06-26
6 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-06-26
5 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-06-26
3 SHS BLACKROCK INC
P
2015-11-03
2019-06-26
10 SHS CHEVRON CORPORATION
P
2015-05-06
2019-06-26
4 SHS CHUBB LTD
P
2016-01-15
2019-06-26
51 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-06-26
5 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-06-26
28 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-06-26
26 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-06-26
12 SHS EXXON MOBIL CORP
P
2015-06-19
2019-06-26
7 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-06-26
13 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-06-26
13 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-06-26
2 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-06-26
8 SHS LINDE PLC
P
2015-06-19
2019-06-26
33 SHS LOWES COMPANIES INC
P
2015-06-19
2019-06-26
1 SHS MCDONALDS CORP
P
2015-05-04
2019-06-26
47 SHS MICROSOFT CORP
P
2015-06-19
2019-06-26
23 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-06-26
14 SHS NIKE INC CLASS B
P
2016-01-20
2019-06-26
13 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-06-26
4 SHS NOVARTIS AG
P
2015-06-19
2019-06-26
5 SHS PAYCHEX INC
P
2015-06-19
2019-06-26
3 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-06-26
20 SHS PHILLIPS 66
P
2015-06-19
2019-06-26
4 SHS POLARIS INDS INC
P
2015-06-19
2019-06-26
7 SHS TARGET CORP
P
2015-06-19
2019-06-26
8 SHS 3M CO
P
2015-06-19
2019-06-26
21 SHS US BANCORP NEW
P
2017-02-01
2019-06-26
11 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-06-26
8 SHS VF CORPORATION
P
2015-06-19
2019-06-26
7 SHS WALMART INC
P
2015-06-19
2019-06-26
34 SHS AFLAC INC
P
2015-06-19
2019-07-19
14 SHS AT & T INC
P
2015-06-19
2019-07-19
33 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-07-19
8 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-07-19
9 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-07-19
8 SHS AMGEN INC
P
2015-11-24
2019-07-19
9 SHS ANALOG DEVICES INC
P
2015-06-19
2019-07-19
10 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-07-19
7 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-07-19
2 SHS BLACKROCK INC
P
2015-11-03
2019-07-19
6 SHS CHEVRON CORPORATION
P
2015-05-06
2019-07-19
10 SHS CHUBB LTD
P
2016-01-15
2019-07-19
17 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-07-19
16 SHS CLOROX COMPANY
P
2015-06-19
2019-07-19
16 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-07-19
8 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-07-19
18 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-07-19
17 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-07-19
6 SHS EXXON MOBIL CORP
P
2015-06-19
2019-07-19
1 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-07-19
7 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-07-19
15 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-07-19
22 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-07-19
8 SHS LINDE PLC
P
2015-06-19
2019-07-19
10 SHS LOWES COMPANIES INC
P
2015-06-19
2019-07-19
10 SHS L3HARRIS TECHNOLOGIES INC
P
2015-06-19
2019-07-19
6 SHS MCDONALDS CORP
P
2015-05-04
2019-07-19
31 SHS MEDTRONIC PLC
P
2015-06-19
2019-07-19
28 SHS MICROSOFT CORP
P
2015-06-19
2019-07-19
5 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-07-19
10 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-07-19
5 SHS NIKE INC CLASS B
P
2015-01-20
2019-07-19
7 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-07-19
11 SHS NOVARTIS AG
P
2015-06-19
2019-07-19
23 SHS PAYCHEX INC
P
2015-06-19
2019-07-19
8 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-07-19
21 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-07-19
25 SHS SYSCO CORPORATION
P
2015-06-19
2019-07-19
10 SHS TARGET CORP
P
2015-06-19
2019-07-19
6 SHS 3M CO
P
2015-06-19
2019-07-19
11 SHS US BANCORP NEW
P
2017-02-01
2019-07-19
13 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-07-19
21 SHS VF CORPORATION
P
2015-06-19
2019-07-19
13 SHS WALMART INC
P
2015-06-19
2019-07-19
14 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-07-19
19 SHS AFLAC INC
P
2015-06-19
2019-08-20
19 SHS AT & T INC
P
2015-06-19
2019-08-20
15 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-08-20
7 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-08-20
3 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-08-20
4 SHS AMGEN INC
P
2015-11-24
2019-08-20
12 SHS ANALOG DEVICES INC
P
2015-06-19
2019-08-20
9 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-08-20
9 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-08-20
3 SHS CHEVRON CORPORATION
P
2015-05-06
2019-08-20
10 SHS CHUBB LTD
P
2016-01-15
2019-08-20
25 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-08-20
3 SHS CLOROX COMPANY
P
2015-06-19
2019-08-20
14 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-08-20
2 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-08-20
20 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-08-20
6 SHS EXXON MOBIL CORP
P
2015-06-19
2019-08-20
3 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-08-20
6 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-08-20
3 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-08-20
13 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-08-20
77.429 SHS KONTOOR BRANDS INC
P
2015-06-19
2019-08-14
18.571 SHS KONTOOR BRANDS INC
P
2016-07-13
2019-08-14
4 SHS LINDE PLC
P
2015-06-19
2019-08-20
41 SHS LOWES COMPANIES INC
P
2015-06-19
2019-08-20
10 SHS L3HARRIS TECHNOLOGIES INC
P
2015-06-19
2019-08-20
6 SHS MCDONALDS CORP
P
2015-05-04
2019-08-20
41 SHS MEDTRONIC PLC
P
2015-06-19
2019-08-20
5 SHS MICROSOFT CORP
P
2015-06-19
2019-08-20
10 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-08-20
10 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-08-20
6 SHS NIKE INC CLASS B
P
2016-01-20
2019-08-20
3 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-08-20
11 SHS NOVARTIS AG
P
2015-06-19
2019-08-20
17 SHS PAYCHEX INC
P
2015-06-19
2019-08-20
13 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-08-20
15 SHS PHILLIPS 66
P
2015-06-19
2019-08-20
5 SHS POLARIS INDS INC
P
2015-06-19
2019-08-20
7 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-08-20
19 SHS SYSCO CORPORATION
P
2015-06-19
2019-08-20
8 SHS TARGET CORP
P
2015-06-19
2019-08-20
2 SHS 3M CO
P
2015-06-19
2019-08-20
7 SHS US BANCORP NEW
P
2017-02-01
2019-08-20
6 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-08-20
4 SHS VF CORPORATION
P
2015-06-19
2019-08-20
8 SHS WALMART INC
P
2015-06-19
2019-08-20
21 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-08-20
31 SHS AFLAC INC
P
2015-06-19
2019-10-08
29 SHS AT & T INC
P
2015-06-19
2019-10-08
11 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-10-08
4 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-10-08
3 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-10-08
7 SHS AMGEN INC
P
2015-11-24
2019-10-08
7 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-10-08
1 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-10-08
2 SHS BLACKROCK INC
P
2015-11-03
2019-10-08
9 SHS CHEVRON CORPORATION
P
2015-05-06
2019-10-08
3 SHS CHUBB LTD
P
2016-01-15
2019-10-08
9 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-10-08
8 SHS CLOROX COMPANY
P
2015-06-19
2019-10-08
11 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-10-08
10 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-10-08
11 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-10-08
18 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-10-08
9 SHS EXXON MOBIL CORP
P
2015-06-19
2019-10-08
3 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-10-08
10 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-10-08
4 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-10-08
20 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-10-08
3 SHS LINDE PLC
P
2015-06-19
2019-10-08
11 SHS L3HARRIS TECHNOLOGIES INC
P
2015-06-19
2019-10-08
5 SHS MCDONALDS CORP
P
2015-05-04
2019-10-08
35 SHS MICROSOFT CORP
P
2015-06-19
2019-10-08
8 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-10-08
9 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-10-08
6 SHS NIKE INC CLASS B
P
2016-01-20
2019-10-08
7 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-10-08
7 SHS NOVARTIS AG
P
2015-06-19
2019-10-08
13 SHS PAYCHEX INC
P
2015-06-19
2019-10-08
10 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-10-08
11 SHS PHILLIPS 66
P
2015-06-19
2019-10-08
5 SHS POLARIS INC
P
2015-06-19
2019-10-08
9 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-10-08
18 SHS SYSCO CORPORATION
P
2015-06-19
2019-10-08
14 SHS TARGET CORP
P
2015-06-19
2019-10-08
5 SHS 3M CO
P
2015-06-19
2019-10-08
7 SHS US BANCORP NEW
P
2017-02-01
2019-10-08
5 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-10-08
13 SHS VF CORPORATION
P
2015-06-19
2019-10-08
17 SHS WALMART INC
P
2015-06-19
2019-10-08
15 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-10-08
9 SHS AFLAC INC
P
2015-06-19
2019-11-05
15 SHS AT & T INC
P
2015-06-19
2019-11-05
19 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-11-05
5 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-11-05
11 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-11-05
4 SHS AMGEN INC
P
2015-11-24
2019-11-05
36 SHS ANALOG DEVICES INC
P
2015-06-19
2019-11-05
4 SHS BLACKROCK INC
P
2015-11-03
2019-11-05
7 SHS CHEVRON CORPORATION
P
2015-05-06
2019-11-05
8 SHS CHUBB LTD
P
2016-01-15
2019-11-05
3 SHS CHUBB LTD
P
2016-01-20
2019-11-05
51 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-11-05
8 SHS CLOROX COMPANY
P
2015-06-19
2019-11-05
10 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-11-05
13 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-11-05
13 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-11-05
5 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-11-05
13 SHS EXXON MOBIL CORP
P
2015-06-19
2019-11-05
3 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-11-05
3 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-11-05
12 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-11-05
14 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-11-05
7 SHS LINDE PLC
P
2015-06-19
2019-11-05
8 SHS LOWES COMPANIES INC
P
2015-06-19
2019-11-05
8 SHS MCDONALDS CORP
P
2015-05-04
2019-11-05
4 SHS MEDTRONIC PLC
P
2015-06-19
2019-11-05
12 SHS MICROSOFT CORP
P
2015-06-19
2019-11-05
20 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-11-05
2 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-11-05
13 SHS NIKE INC CLASS B
P
2016-01-20
2019-11-05
14 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-11-05
4 SHS NOVARTIS AG
P
2015-06-19
2019-11-05
2 SHS PAYCHEX INC
P
2015-06-19
2019-11-05
4 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-11-05
7 SHS PHILLIPS 66
P
2015-06-19
2019-11-05
16 SHS POLARIS INC
P
2015-06-19
2019-11-05
11 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-11-05
15 SHS SYSCO CORPORATION
P
2015-06-19
2019-11-05
5 SHS TARGET CORP
P
2015-06-19
2019-11-05
4 SHS 3M CO
P
2015-06-19
2019-11-05
33 SHS US BANCORP NEW
P
2017-02-01
2019-11-05
7 SHS UNITED TECHNOLOGIES CORP
P
2015-05-18
2019-11-05
23 SHS VF CORPORATION
P
2015-06-19
2019-11-05
8 SHS WALMART INC
P
2015-06-19
2019-11-05
6 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-11-05
44 SHS AFLAC INC
P
2015-06-19
2019-12-17
28 SHS AFLAC INC
P
2015-06-19
2019-12-31
8 SHS AT&T INC
P
2015-06-19
2019-12-17
22 SHS AT&T INC
P
2015-06-19
2019-12-31
28 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-12-17
10 SHS ABBOTT LABORATORIES
P
2015-07-21
2019-12-31
6 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-12-17
8 SHS ACCENTURE PLC IRELAND
P
2017-10-27
2019-12-31
2 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-12-17
5 SHS AIR PRODUCTS & CHEMICALS INC
P
2015-06-19
2019-12-31
4 SHS AMGEN INC
P
2015-11-24
2019-12-17
8 SHS AMGEN INC
P
2015-11-24
2019-12-31
13 SHS ANALOG DEVICES INC
P
2015-06-19
2019-12-31
5 SHS APPLE INC
P
2018-11-29
2019-12-17
7 SHS APPLE INC
P
2018-11-29
2019-12-31
17 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-12-17
11 SHS AUTOMATIC DATA PROCESSING
P
2015-05-19
2019-12-31
16 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-12-17
6 SHS BECTON DICKINSON & CO
P
2015-05-18
2019-12-31
1 SHS BLACKROCK INC
P
2015-11-03
2019-12-17
2 SHS BLACKROCK INC
P
2015-11-03
2019-12-31
4 SHS CHEVRON CORPORATION
P
2015-05-06
2019-12-17
9 SHS CHEVRON CORPORATION
P
2015-05-06
2019-12-31
9 SHS CHUBB LTD
P
2016-01-20
2019-12-17
6 SHS CHUBB LTD
P
2016-01-20
2019-12-31
32 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-12-17
20 SHS CISCO SYSTEMS INC
P
2017-08-30
2019-12-31
1 SHS CLOROX COMPANY
P
2015-06-19
2019-12-17
11 SHS CLOROX COMPANY
P
2015-06-19
2019-12-31
2 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-12-17
14 SHS COLGATE-PALMOLIVE CO
P
2015-05-04
2019-12-31
7 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-12-17
10 SHS EATON VANCE CORP NON VTG
P
2015-06-19
2019-12-31
8 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-12-17
14 SHS EMERSON ELECTRIC CO
P
2015-05-18
2019-12-31
16 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-12-17
11 SHS EVERSOURCE ENERGY
P
2015-06-19
2019-12-31
2 SHS EXXON MOBIL CORP
P
2015-06-19
2019-12-17
8 SHS EXXON MOBIL CORP
P
2015-06-19
2019-12-31
5 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-12-17
5 SHS FACTSET RESEARCH SYSTEMS INC
P
2015-06-19
2019-12-31
5 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-12-17
8 SHS GENL DYNAMICS CORP
P
2015-06-19
2019-12-31
9 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-12-17
7 SHS ILLINOIS TOOL WORKS INC
P
2015-06-19
2019-12-31
13 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-12-17
6 SHS JOHNSON & JOHNSON
P
2015-06-19
2019-12-31
4 SHS LINDE PLC
P
2015-06-19
2019-12-17
8 SHS LINDE PLC
P
2015-06-19
2019-12-31
18 SHS LOWES COMPANIES INC
P
2015-06-19
2019-12-17
10 SHS LOWES COMPANIES INC
P
2015-06-19
2019-12-31
5 SHS L3HARRIS TECHNOLOGIES INC
P
2015-06-19
2019-12-17
11 SHS L3HARRIS TECHNOLOGIES INC
P
2015-06-19
2019-12-31
7 SHS MCDONALDS CORP
P
2015-05-04
2019-12-31
21 SHS MEDTRONIC PLC
P
2015-06-19
2019-12-17
15 SHS MEDTRONIC PLC
P
2015-06-19
2019-12-31
13 SHS MICROSOFT CORP
P
2015-06-19
2019-12-17
25 SHS MICROSOFT CORP
P
2015-06-19
2019-12-31
11 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-12-17
9 SHS JPMORGAN CHASE & CO
P
2017-10-26
2019-12-31
10 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-12-17
7 SHS NEXTERA ENERGY INC
P
2015-06-19
2019-12-31
8 SHS NIKE INC CLASS B
P
2016-01-20
2019-12-17
9 SHS NIKE INC CLASS B
P
2016-01-20
2019-12-31
5 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-12-17
6 SHS NORFOLK SOUTHERN CORP
P
2015-06-19
2019-12-31
12 SHS NOVARTIS AG
P
2015-06-19
2019-12-17
7 SHS NOVARTIS AG
P
2015-06-19
2019-12-31
27 SHS PAYCHEX INC
P
2015-06-19
2019-12-17
13 SHS PAYCHEX INC
P
2015-06-19
2019-12-31
8 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-12-17
13 SHS PEPSICO INCORPORATED
P
2015-05-06
2019-12-31
9 SHS PHILLIPS 66
P
2015-06-19
2019-12-17
18 SHS PHILLIPS 66
P
2015-06-19
2019-12-31
5 SHS POLARIS INC
P
2015-06-19
2019-12-17
1 SHS POLARIS INC
P
2015-06-19
2019-12-31
5 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-12-17
11 SHS PROCTER & GAMBLE CO
P
2015-06-19
2019-12-31
9 SHS SYSCO CORPORATION
P
2015-06-19
2019-12-17
13 SHS SYSCO CORPORATION
P
2015-06-19
2019-12-31
9 SHS TARGET CORP
P
2015-06-19
2019-12-17
6 SHS 3M CO
P
2015-06-19
2019-12-17
7 SHS 3M CO
P
2015-06-19
2019-12-31
11 SHS US BANCORP NEW
P
2017-02-01
2019-12-17
15 SHS US BANCORP NEW
P
2017-02-01
2019-12-31
4 SHS UNITED TECHNOLOGIES CORP
P
2015-05-15
2019-12-17
11 SHS UNITED TECHNOLOGIES CORP
P
2015-05-15
2019-12-31
8 SHS VF CORPORATION
P
2015-06-19
2019-12-17
10 SHS VF CORPORATION
P
2015-06-19
2019-12-31
7 SHS WALMART INC
P
2015-06-19
2019-12-17
5 SHS WALMART INC
P
2015-06-19
2019-12-31
17 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-12-17
10 SHS WEC ENERGY GROUP INC
P
2015-06-19
2019-12-31
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
780
899
-119
b
1,627
1,618
9
c
1,599
1,438
161
d
2,399
2,157
242
e
159
159
1,912
1,618
294
903
719
184
1,286
899
387
998
986
12
1,300
1,243
57
900
595
305
1,397
999
398
912
859
53
1,468
1,206
262
577
486
91
679
476
203
536
350
186
1,708
991
717
821
720
101
450
433
17
563
541
22
659
555
104
1,379
957
422
879
642
237
891
952
-61
1,264
1,207
57
1,078
755
323
1,148
1,364
-216
641
495
146
1,746
1,460
286
5,317
2,768
2,549
3,380
2,329
1,051
2,346
1,803
543
1,935
1,961
-26
1,401
1,052
349
365
195
170
1,474
1,294
180
1,361
1,326
35
1,035
613
422
642
466
176
2,176
1,209
967
173
200
-27
1,046
724
322
544
477
67
1,495
1,285
210
165
303
-138
1,122
970
152
371
225
146
288
335
-47
2,169
1,755
414
972
1,012
-40
1,766
1,781
-15
924
773
151
923
614
309
1,425
909
516
1,042
1,189
-147
940
599
341
1,316
1,145
171
1,107
973
134
2,053
1,293
760
2,742
1,575
1,167
1,258
708
550
428
360
68
744
650
94
1,474
1,221
253
1,463
893
570
1,115
749
366
132
136
-4
779
784
-5
918
613
305
400
426
-26
1,169
824
345
169
146
23
1,114
801
313
345
327
18
1,817
1,262
555
1,453
779
674
1,483
1,218
265
6,476
2,636
3,840
416
408
8
2,099
1,124
975
684
466
218
451
501
-50
1,874
1,158
716
932
763
169
878
723
155
2,379
4,088
-1,709
1,202
970
232
1,260
713
547
533
586
-53
408
426
-18
764
633
131
1,180
876
304
1,160
709
451
1,674
1,065
609
194
210
-16
470
300
170
1,252
1,002
250
772
536
236
17
19
-2
1
1
0
1
1
0
4
3
1
778
649
129
1,228
749
479
800
438
362
1,000
566
434
890
720
170
885
758
127
410
333
77
1,549
893
656
461
321
140
884
884
0
1,432
1,207
225
566
377
189
745
767
-22
1,275
824
451
1,546
1,314
232
1,075
652
423
1,358
1,002
356
740
654
86
1,964
1,192
772
760
390
370
712
609
103
1,915
740
1,175
1,686
1,632
54
377
204
173
680
466
214
2,518
1,209
1,309
1,137
1,203
-66
807
482
325
1,462
1,144
318
586
482
104
1,142
1,817
-675
1,575
1,213
362
1,140
638
502
1,397
1,424
-27
858
638
220
1,396
1,491
-95
532
475
57
2,167
1,687
480
1,288
949
339
232
142
90
1,709
1,065
644
911
1,049
-138
765
499
266
865
716
149
400
268
132
175
182
-7
128
139
-11
839
718
121
3,719
3,887
-168
1,217
1,135
82
899
544
355
1,905
1,050
855
1,166
708
458
464
360
104
585
541
44
1,571
1,221
350
799
478
321
2,371
1,711
660
282
272
10
2,078
1,368
710
532
597
-65
278
165
113
171
146
25
1,675
1,202
473
347
327
20
1,581
779
802
1,869
1,598
271
1,500
555
945
1,017
918
99
3,038
1,635
1,403
909
640
269
324
352
-28
1,592
917
675
1,636
1,240
396
601
562
39
944
728
216
1,966
1,013
953
376
419
-43
894
798
96
632
639
-7
816
712
104
1,592
1,195
397
1,114
803
311
2,664
1,606
1,058
436
251
185
424
455
-31
1,746
1,049
697
1,107
859
248
1,338
804
534
1,100
973
127
2,787
1,701
1,086
994
525
469
1,230
708
522
1,375
1,080
295
1,245
1,083
162
596
444
152
2,888
1,627
1,261
364
340
24
1,178
1,156
22
1,713
1,570
143
925
1,023
-98
2,019
1,154
865
2,328
1,897
431
1,957
1,211
746
284
200
84
1,610
1,308
302
3,275
2,314
961
205
97
108
6,343
2,174
4,169
2,510
2,346
164
1,170
815
355
2,502
1,209
1,293
365
352
13
420
241
179
399
286
113
1,861
1,606
255
355
606
-251
603
586
17
1,381
1,276
105
1,098
1,118
-20
1,413
1,306
107
690
562
128
774
511
263
1,902
1,065
837
461
490
-29
2,902
1,648
1,254
1,565
1,145
420
2,040
1,206
834
1,441
1,297
144
1,050
612
438
1,680
875
805
1,771
991
780
953
720
233
750
650
100
1,497
1,110
387
984
542
442
2,606
1,711
895
1,173
1,088
85
358
330
28
1,179
1,087
92
1,324
802
522
450
511
-61
285
165
120
1,289
1,022
267
2,280
1,397
883
2,887
2,204
683
1,632
1,308
324
1,035
701
334
1,937
791
1,146
1,290
584
706
3,146
2,359
787
3,879
1,295
2,584
572
510
62
2,110
1,022
1,088
436
291
145
1,372
651
721
1,032
968
64
1,973
1,110
863
1,052
763
289
2,429
1,698
731
1,793
938
855
889
838
51
1,040
957
83
609
586
23
1,722
1,543
179
1,848
1,385
463
1,493
949
544
1,221
661
560
997
595
402
669
665
4
1,284
749
535
1,368
1,002
366
681
402
279
822
649
173
1,334
817
517
1,525
788
737
2,274
1,275
999
349
325
24
1,561
1,110
451
1,208
797
411
482
321
161
1,019
952
67
117
121
-4
1,581
944
637
414
511
-97
827
495
332
1,124
876
248
459
279
180
1,708
1,302
406
2,406
2,345
61
577
516
61
755
654
101
4,027
2,875
1,152
2,137
791
1,346
1,316
584
732
4,448
3,120
1,328
692
231
461
1,082
1,020
62
2,186
1,022
1,164
485
349
136
518
279
239
983
968
15
1,403
820
583
1,723
1,240
483
1,488
1,205
283
409
757
-348
834
566
268
1,398
713
685
695
670
25
324
319
5
366
373
-7
762
712
50
320
264
56
908
584
324
1,928
992
936
1,589
971
618
1,085
1,014
71
871
549
322
735
572
163
624
402
222
1,368
1,135
233
1,095
613
482
245
142
103
826
720
106
1,006
974
32
469
333
136
419
287
132
1,198
856
342
779
748
31
415
413
2
699
664
35
1,534
849
685
603
767
-164
703
495
208
1,768
1,460
308
588
373
215
2,633
2,003
630
551
490
61
2,278
870
1,408
1,055
487
568
4,792
1,619
3,173
895
816
79
2,076
919
1,157
550
349
201
1,170
651
519
597
616
-19
1,063
627
436
1,375
954
421
1,110
883
227
412
757
-345
1,091
728
363
1,395
675
720
1,520
1,173
347
756
798
-42
366
373
-7
655
594
61
1,131
858
273
1,995
1,240
755
1,419
709
710
474
282
192
585
525
60
1,555
949
606
931
716
215
2,382
1,474
908
857
649
208
4,093
2,450
1,643
1,922
1,440
482
850
758
92
1,184
888
296
444
330
114
2,426
1,627
799
1,175
856
319
657
680
-23
615
537
78
951
785
166
405
236
169
942
1,108
-166
759
495
264
535
438
97
2,099
1,118
981
1,834
1,402
432
1,396
1,144
252
892
561
331
1,534
779
755
420
304
116
1,734
555
1,179
2,592
2,040
552
454
204
250
1,168
757
411
2,721
1,302
1,419
348
352
-4
164
97
67
536
381
155
827
562
265
1,644
2,423
-779
1,312
890
422
1,213
563
650
548
419
129
696
638
58
1,932
1,757
175
1,029
831
198
1,967
1,517
450
950
584
366
547
283
264
2,339
1,379
960
1,477
877
600
308
280
28
856
770
86
2,436
1,398
1,038
865
499
366
1,220
859
361
1,678
1,145
533
471
268
203
1,171
670
501
968
649
319
1,915
1,297
618
1,538
885
653
1,402
899
503
2,041
1,258
783
2,861
1,488
1,373
1,865
963
902
4,303
2,266
2,037
1,616
850
766
503
360
143
997
720
277
476
433
43
1,079
974
105
1,406
990
416
930
660
270
1,486
1,021
465
952
638
314
150
107
43
1,680
1,176
504
136
136
0
959
952
7
334
289
45
467
413
54
610
483
127
1,067
845
222
1,322
755
567
932
519
413
139
170
-31
554
682
-128
1,347
824
523
1,342
824
518
905
730
175
1,408
1,168
240
1,603
838
765
1,253
652
601
1,872
1,302
570
870
601
269
836
654
182
1,693
1,308
385
2,162
1,262
900
1,187
701
486
991
395
596
2,183
870
1,313
1,383
682
701
2,405
1,598
807
1,687
1,142
545
2,011
601
1,410
3,912
1,156
2,756
1,524
1,122
402
1,248
918
330
2,398
1,022
1,376
1,684
715
969
798
466
332
907
524
383
957
465
492
1,159
558
601
1,122
1,056
66
660
616
44
2,299
1,303
996
1,100
627
473
1,089
763
326
1,774
1,240
534
1,022
723
299
1,997
1,446
551
512
757
-245
102
102
0
753
485
268
1,366
890
476
759
338
421
1,107
488
619
1,156
754
402
1,020
957
63
1,231
1,117
114
670
586
84
885
799
86
592
475
117
1,644
1,306
338
760
528
232
995
660
335
849
511
338
593
365
228
1,550
803
747
921
472
449
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
-119
b
9
c
161
d
242
e
159
294
184
387
12
57
305
398
53
262
91
203
186
717
101
17
22
104
422
237
-61
57
323
-216
146
286
2,549
1,051
543
-26
349
170
180
35
422
176
967
-27
322
67
210
-138
152
146
-47
414
-40
-15
151
309
516
-147
341
171
134
760
1,167
550
68
94
253
570
366
-4
-5
305
-26
345
23
313
18
555
674
265
3,840
8
975
218
-50
716
169
155
-1,709
232
547
-53
-18
131
304
451
609
-16
170
250
236
-2
0
0
1
129
479
362
434
170
127
77
656
140
0
225
189
-22
451
232
423
356
86
772
370
103
1,175
54
173
214
1,309
-66
325
318
104
-675
362
502
-27
220
-95
57
480
339
90
644
-138
266
149
132
-7
-11
121
-168
82
355
855
458
104
44
350
321
660
10
710
-65
113
25
473
20
802
271
945
99
1,403
269
-28
675
396
39
216
953
-43
96
-7
104
397
311
1,058
185
-31
697
248
534
127
1,086
469
522
295
162
152
1,261
24
22
143
-98
865
431
746
84
302
961
108
4,169
164
355
1,293
13
179
113
255
-251
17
105
-20
107
128
263
837
-29
1,254
420
834
144
438
805
780
233
100
387
442
895
85
28
92
522
-61
120
267
883
683
324
334
1,146
706
787
2,584
62
1,088
145
721
64
863
289
731
855
51
83
23
179
463
544
560
402
4
535
366
279
173
517
737
999
24
451
411
161
67
-4
637
-97
332
248
180
406
61
61
101
1,152
1,346
732
1,328
461
62
1,164
136
239
15
583
483
283
-348
268
685
25
5
-7
50
56
324
936
618
71
322
163
222
233
482
103
106
32
136
132
342
31
2
35
685
-164
208
308
215
630
61
1,408
568
3,173
79
1,157
201
519
-19
436
421
227
-345
363
720
347
-42
-7
61
273
755
710
192
60
606
215
908
208
1,643
482
92
296
114
799
319
-23
78
166
169
-166
264
97
981
432
252
331
755
116
1,179
552
250
411
1,419
-4
67
155
265
-779
422
650
129
58
175
198
450
366
264
960
600
28
86
1,038
366
361
533
203
501
319
618
653
503
783
1,373
902
2,037
766
143
277
43
105
416
270
465
314
43
504
0
7
45
54
127
222
567
413
-31
-128
523
518
175
240
765
601
570
269
182
385
900
486
596
1,313
701
807
545
1,410
2,756
402
330
1,376
969
332
383
492
601
66
44
996
473
326
534
299
551
-245
0
268
476
421
619
402
63
114
84
86
117
338
232
335
338
228
747
449
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
182,546
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
...................
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2018
349,509
3,105,309
0.112552
2017
283,457
3,235,007
0.087622
2016
301,330
3,373,436
0.089324
2015
229,959
3,676,994
0.062540
2014
243,501
3,965,866
0.061399
2
Total
of line 1, column (d)
.....................
2
0.413437
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.082687
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
2,859,765
5
Multiply line 4 by line 3
......................
5
236,465
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
66
7
Add lines 5 and 6
........................
7
236,531
8
Enter qualifying distributions from Part XII, line 4
,.............
8
381,100
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A" on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
66
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
66
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
66
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
2,000
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
2,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
1,934
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
1,934
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? (see Instructions
for definition)
.................................
1b
No
If the answer is "Yes" to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If "Yes," attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If "Yes," has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If "Yes," complete Part II, col. (c),
and Part XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
GA
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2019 or the taxable year beginning in 2019? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement. See instructions
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
N/A
14
The books are in care of
Barkley M Geib
Telephone no.
(770) 536-3381
Located at
3758 Kasey Lane
Buford
GA
ZIP+4
30519
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
.................
16
No
See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
...............
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check "No"
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.......
Yes
No
b
If any answer is "Yes" to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions
........
1b
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2019?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statement—see instructions.)
..............
2b
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2019.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
b
If any answer is "Yes" to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
..........
Yes
No
If "Yes," attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
.....................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If "Yes" to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
8
Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
excess parachute payment during the year?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
David Groom
Director
0.10
0
0
0
324 Essex St
Swampscott
,
MA
01907
Barkley M Geib
President, Treas. Director
10.00
286,500
0
0
3758 Kasey Lane
Buford
,
GA
305197857
Denise N Geib
Secretary, Director
10.00
35,000
0
0
3758 Kasey Lane
Buford
,
GA
305197857
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations, see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
2,801,654
b
Average of monthly cash balances
.......................
1b
101,661
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
2,903,315
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
2,903,315
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
43,550
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
2,859,765
6
Minimum investment return.
Enter 5% of line 5
..................
6
142,988
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
142,988
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
66
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
66
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
142,922
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
142,922
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
142,922
Part XII
Qualifying Distributions
(see instructions)
1
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
a
Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26
..........
1a
381,100
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
381,100
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
66
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
381,034
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
142,922
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
33,962
c
From 2016
......
132,658
d
From 2017
......
121,707
e
From 2018
......
194,244
f
Total
of lines 3a through e
........
482,571
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
381,100
a
Applied to 2018, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
142,922
e
Remaining amount distributed out of corpus
238,178
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
720,749
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
720,749
10
Analysis of line 9:
a
Excess from 2015
....
33,962
b
Excess from 2016
....
132,658
c
Excess from 2017
....
121,707
d
Excess from 2018
....
194,244
e
Excess from 2019
....
238,178
Form
990-PF
(2019)
Form 990-PF (2019)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2019
(b)
2018
(c)
2017
(d)
2016
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
Barkley M Geib
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
Ammonoosuc Conservation Trust
729 Main Street
Franconia
,
NH
03580
None
Public
Operations
750
Art OMI
1405 County Route 22
Ghent
,
NY
12075
None
Public
Operations
5,000
Boys & Girls Clubs of Hall County
1 Positive Place
Gainsville
,
GA
30503
None
Public
Operations
10,000
Buford United Methodist Church
285 E Main Street
Buford
,
GA
30518
None
Public
Operations
1,500
Copper Canyon
PO Box 271
Port Townsend
,
WA
98368
None
Public
Operations
5,000
Greater Atlanta Christian Academy
1575 Indian Trail Road
Norcross
,
GA
30093
None
Public
Operations
31,250
Highland River Foundation
1401 Applewood Dr Suite 5
Dalton
,
GA
30720
None
Public
Operations
12,500
I Am International Foundation
139 Line Kiln Road
Lenox
,
MA
01240
None
Public
Operations
7,500
Lakeview Academy
796 Lakeview Drive
Gainesville
,
GA
30501
None
Public
Operations
69,875
Lanier Partners of North Georgia
6636 Lake Run Drive
Flowery Branch
,
GA
30452
None
Public
Operations
65,000
North Georgia Crappie Anglers
1045 Dahlonega Hwy
Cumming
,
GA
30040
None
Public
Operations
3,500
Northeast ARC
1 Southside Rd
Danvers
,
MA
01923
None
Public
Operations
2,500
Planned Parenthood
37815 State Road 54
Zephyrhills
,
FL
33542
None
Public
Operations
13,000
Plummer Home for Boys
37 Winter Island Rd
Salem
,
MA
01970
None
Public
Operations
2,500
Raw Art Works
37 Central Square
Lynn
,
MA
01901
None
Public
Operations
7,500
Southern Methodist University
6425 Boaz Lane
Dallas
,
TX
75205
None
Public
Operations
36,100
The Family Restored
PO Box 10116
Portland
,
ME
04101
None
Public
Operations
10,750
UGA Miracle Network
153 Tate Student Center
Athens
,
GA
30602
None
Public
Operations
1,500
Vermont Adaptive Ski and Sports
73 Alpine Drive
Killingtron
,
VT
05751
None
Public
Operations
5,000
Winsor School
103 Pilgrim Road
Boston
,
MA
02215
None
Public
Operations
5,000
YMCA of North Shore
20 Balch Street
Beverly
,
MA
01915
None
Public
Operations
5,000
Total
.................................
3a
300,725
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
4
Dividends and interest from securities
....
14
67,110
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than
inventory
............
18
182,357
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
249,467
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
249,467
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2019)
Form 990-PF (2019)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If "Yes," complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description